Individual provider Active NPI

Joseph James Olson, LPCC

  • Mental Health Counselor
  • Duluth, MN
National Provider Identifier
1184504946
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CC5168 Issued in MN
Practice address
4849 Ivanhoe St
Duluth, MN 55804-1131
Phone
(218) 336-8955
NPI assigned
Sep 3, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CC5168 MN Primary

Addresses

Primary practice location

4849 Ivanhoe St
Duluth, MN 55804-1131

Mailing address

4849 Ivanhoe St
Duluth, MN 55804-1131
Phone (218) 336-8955

Other practice location 1

4000 W 9th St
Duluth, MN 55807-1563
Phone (218) 628-0237

Other practice location 2

714 W College St
Duluth, MN 55811-4906
Phone (218) 724-8815

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CC5168MNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Northwood Children'S Home Society Inc PastSince Sep 8, 2025 Accepting new patients
Northwood Children'S Services, Inc. PastSince Sep 8, 2025 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1756857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1184504946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4849 IVANHOE ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558041131",
            "telephone_number": "218-336-8955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4849 IVANHOE ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558041131",
            "telephone_number": "218-336-8955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4000 W 9th St",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "MN",
            "postal_code": "558071563",
            "country_code": "US",
            "telephone_number": "218-628-0237",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "714 W College St",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "MN",
            "postal_code": "558114906",
            "country_code": "US",
            "telephone_number": "218-724-8815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLSON",
        "first_name": "JOSEPH",
        "middle_name": "JAMES",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-03",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "CC5168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.